A nurse is assisting with the care of a client who was admitted to the telemetry unit after experiencing chest pain, dyspnea, and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?

Choice A reason : Setting a goal body weight within 25% of the ideal body weight can be misleading. The ideal body weight should be determined based on body mass index (BMI), considering the individual's height and weight. A BMI of 18.5 to 24.9 is considered normal.

Choice B reason : This is a general guideline for alcohol consumption, but for individuals with hypertension, it is often recommended to limit alcohol intake even further to help manage blood pressure

Choice C reason : This is a key recommendation for managing hypertension. Reducing sodium intake helps lower blood pressure and is a widely accepted guideline

Choice D reason : Monitoring potassium levels is crucial when taking thiazide diuretics because these medications can decrease potassium levels in the blood, leading to hypokalemia.

Choice A : While vitamin K is essential for normal blood clotting, warfarin works by blocking the action of vitamin K. Therefore, clients taking warfarin should maintain a consistent intake of vitamin K-rich foods to avoid fluctuations in their response to the medication. Inconsistent vitamin K intake can affect the effectiveness of warfarin. The nurse should educate the client to consume a consistent amount of vitamin K-containing foods rather than emphasizing "lots" of vitamin K.

Choice B : Warfarin is an anticoagulant that increases the risk of bleeding. Taking aspirin (another blood-thinning medication) along with warfarin can further enhance this risk. The nurse should emphasize that clients should avoid taking aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) without consulting their healthcare provider while on warfarin therapy.

Choice C : Alcohol can interact with warfarin and increase the risk of bleeding. Clients should be advised to limit alcohol consumption while taking warfarin. The nurse should educate the client that alcohol intake should be moderate and consistent, rather than encouraging wine consumption.

Choice D :While it is essential to minimize the risk of cuts and bleeding, the use of an electric razor is not specific to warfarin therapy. Clients should be cautious with any sharp objects, including razors, to prevent bleeding. The nurse should provide general safety instructions for shaving, but this choice does not directly relate to warfarin effects.